MS. JUDY NEAL BENNETT


Address: 820 S Boylan Ave, Raleigh, NC 27603-2246
Phone: 9197335266

MS. JUDY NEAL BENNETT (NPI# 1740498286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740498286
Entity Type Individual
Full Name MS. JUDY NEAL BENNETT
Credential RPH
Practice Address 820 S Boylan Ave
Raleigh
NC 27603-2246
Mailing Address Po Box 422
Knightdale
NC 27545-0422
Practice Telephone 9197335266
Mailing Telephone 9192661725
Enumeration Date 2007-05-18
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1835G0303X Pharmacist
Specialization: Geriatric
11195 NC Pharmacy Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC PHARMACY LICENSE # 11195 01

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Office Location

Street Address 820 S BOYLAN AVE
City RALEIGH
State NC
Zip Code 27603-2246

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093721714 Jacqueline Gaillard Gibson Physician Assistant 820 S Boylan Ave, Raleigh, NC 27603-2246 2006-08-01
1477870608 Elizabeth F Lansing Social Worker 820 S Boylan Ave, Raleigh, NC 27603-2246 2010-04-28
1972745453 George Timothy Dennard Social Worker 820 S Boylan Ave, Raleigh, NC 27603-2246 2009-03-31
1306085212 Gordon Kyle Lavin Psychiatry & Neurology 820 S Boylan Ave, 2 East, Raleigh, NC 27603-2246 2009-02-17
1275742579 Thomas Matthews Haizlip Psychiatry & Neurology 820 S Boylan Ave, Scott Building, Raleigh, NC 27603-2246 2007-05-22
1760690705 Tanya Rose Cheevers Psychiatry & Neurology 820 S Boylan Ave, Mcbryde Bldg., Raleigh, NC 27603-2246 2007-05-21
1124246111 Nicole Francoise Wolfe Psychiatry & Neurology 820 S Boylan Ave, Raleigh, NC 27603-2246 2007-04-23
1316164254 Dorothea Dix Hospital General Acute Care Hospital 820 S Boylan Ave, Raleigh, NC 27603-2246 2007-04-20
1861526113 James Kraig Dixon Social Worker 820 S Boylan Ave, Raleigh, NC 27699-0001 2007-03-16
1265571277 Dorothea Dix Hospital Psychiatric Residential Treatment Facility 820 S Boylan Ave, Raleigh, NC 27603-2246 2007-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1275997595 Run Raleigh Pt, LLC Physical Therapist 401 N West Street, Suite 121, Raleigh, NC 27603 2016-04-12
1508256496 Nneka Ifeoma Hay Nurse Practitioner 1390 Capital Boulevard, Raleigh, NC 27603 2015-01-29
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1578979548 Grishma Ajmera Pharmacist 1531 Dormitory Rd, Raleigh, NC 27603 2014-07-10
1699036467 Brian Ellison Pharmacist 401 Glenwood Ave # 101, Raleigh, NC 27603 2012-06-07
1255607610 Brian Nichols Specialist/Technologist 605 Trunecek Circle, Raleigh, NC 27603 2012-03-29
1548532120 Living With Autism Inc Home Health 7401 Denlee Rd, Raleigh, NC 27603 2012-01-30
1417238189 Crystal Shawnette Yarborough Counselor 3040 Hammond Business Pl Suite 105, Va Raleigh II Clinic, Raleigh, NC 27603 2011-09-07
1982906673 Annie & Khamorah's Place Home Health 2917 Fairway Drive, Raleigh, NC 27603 2010-12-01
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Taxonomy Information

Taxonomy Code 1835G0303X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Geriatric

Taxonomy Definition

A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly.
Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275046179 Stephen Girgis Pharmacist 8041 Hartham Park Ave, Raleigh, NC 27616-9303 2017-11-14
1265602619 Dawn Renee Davis Pharmacist 1501 Ashburton Rd, Raleigh, NC 27606-2510 2008-03-01
1942483789 Holly Harper Nunn Pharmacist 8312 Seagate Dr, Raleigh, NC 27615-4535 2007-12-16
1215150966 Casey Kimzey Gardner Pharmacist 1110 Navaho Dr, Suite 400, Raleigh, NC 27609-7352 2007-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225682792 Sherifat Balogun Pharmacist 406 Rigsbee Ave Suite 201, Durham, NC 27701 2019-08-01
1245739390 Melissa D Arrington Pharmacist 425 Bridlepath Trl, Davidson, NC 28036-7049 2018-02-05
1851809164 Rhonda Reichert Gentry Pharmacist 5214 Verde Vista Cir, Asheville, NC 28805-4531 2018-01-21
1407220841 Hamed Hakimi Pharmacist 606 Beauhaven Ln, Waxhaw, NC 28173-7451 2015-11-23
1932504792 Wendy R. Singleton Pharmacist 4246 Pine Forest Rd, Ayden, NC 28513-7082 2014-10-22
1053602912 Mtm Pharmacy Associates Pharmacist 100 Turquoise Creek Dr, Cary, NC 27513-5616 2011-04-27
1700108099 Tou Shonpov Khang Pharmacist 508 10th St Nw, Conover, NC 28613-2339 2010-02-27
1649592320 Brandi Ward Apple Pharmacist 9731 Southern Pine Blvd, Suite G, Charlotte, NC 28273-5543 2010-02-22
1386971828 Kenneth Wilson Keever Pharmacist 4204 Oak Hollow Dr, High Point, NC 27265-9651 2009-11-04
1174764005 Florence Elizabeth Perry Pharmacist 642 Oriental Rd, Oriental, NC 28571 2009-03-24
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Competitor

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City RALEIGH
Zip Code 27603

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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